روش ارجح زایمان و عوامل مؤثر بر آن، از دیدگاه زنان باردار مراجعه کننده به مراکز بهداشتی- درمانی و کلینیک‌های خصوصی شهر رفسنجان

Preference Method of Delivery and It's Relevant Causes in View of Pregnant Women Referring to Public and Private Clinics in Rafsanjan City T. Negahban MSc , A. Ansari Jaberi MSc , M. Kazemi MSc Received: 06/02/06 Sending for Revision: 28/06/06 Receiving Revised Manuscript: 18/10/06 Accepted: 12/11/06 Background and Objective: While it's widely accepted that vaginal delivery is the best method of parturition, in most countries the cesarean rate has been growing over the past decades and in most cases it's performed only based on the women demand. Finding the reasons of women’s tendency toward cesarean may help to diminsh the rate of this delivery method. Therefor in the present study we tried to investigate the preference method of delivery and its relevant causes in view of pregnant women referring to public and private clinics in Rafsanjan. Material and Methods: In this cross-sectional study, 256 pregnant women were continuously interviewed and their method of choice for delivery and their reasons were also investigated using a qustionnaire. Data were analyzed by t test, one way Analysis of Variance and χ2 test. Results: The results showed that 31.25% and 68.75% of the participants choose Cesarean Section (C/S) and Normal Vaginal Delivery (NVD) respectively as a method of choice for parturition. 52.6% of those who have chosen C/S, believed that NVD is a painful and stressful method which cannot be tolerated whereas 42% of the second group believed C/S could be a high-risk and invasive method. Of the knowledge qustions, 45.5% were correctly answered by the participants. Conclusion: The most important reasons for choosing C/S among the participants were fear of severe pain during vaginal delivery and lack of knowledge about the complications of cesarean. In addition, it should be important for the health – policy makers to develop an awareness concerning the C/S complications and the advantages of NVD. Applying of pharmaceutical and non – pharmaceutial pain-relief methods may also change the attitude of women in favour of NVD. Key words: Pregnant Women, Attitude, Preference Method